Journal of spinal disorders & techniques
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J Spinal Disord Tech · Aug 2009
Pedicle screw-only constructs with lumbar or pelvic fixation for spinal stabilization in patients with Duchenne muscular dystrophy.
Retrospective case study. ⋯ Pedicle screw-only constructs provide good stability allowing better correction and maintenance of coronal and lumbar deformities, obtaining good sitting balance, and mobilizing patients early after surgery. Longer follow-up is required to adequately comment on the need for pelvic stabilization.
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J Spinal Disord Tech · Aug 2009
Bone cement augmentation in the prevention of adjacent segment failure after multilevel adult deformity fusion.
Prospective case report series and detailed description of technique. ⋯ Bone cement augmentation of the uppermost screws and the first mobile vertebra in multilevel adult deformity and revision surgery seems to be a safe and potentially effective method of preventing adjacent segment failure.
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J Spinal Disord Tech · Aug 2009
Case ReportsCervical kyphotic deformity correction using 360-degree reconstruction.
The authors report on their experience with cervical sagittal deformity correction using 360-degree reconstruction. ⋯ The correction of cervical kyphotic sagittal plane deformity can be accomplished safely and effectively using a 360-degree approach. The incidence of major complications in this study was low. All patients could be corrected to a neutral or lordotic alignment. No loss of deformity correction was seen in any patient, and a 97.5% fusion rate was obtained.
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J Spinal Disord Tech · Aug 2009
Removal of posterior longitudinal ligament in anterior decompression for cervical spondylotic myelopathy.
The clinical and radiologic results of the patients with removed posterior longitudinal ligament (PLL) were compared with those of the patients with preserved PLL in the treatment of cervical spondylotic myelopathy (CSM). ⋯ Removal of PLL was generally safe and helpful to get more decompression in anterior approach for CSM, although more technically demanding.
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J Spinal Disord Tech · Aug 2009
Anterior transvertebral herniotomy for cervical disc herniation: a long-term follow-up study.
Retrospective study. ⋯ In conclusion, ATH provided a good clinical outcome that was maintained for a long time. Although intervertebral motion at the operated level decreased to some extent, degenerative changes at the adjacent levels were not enhanced.